Possibility of reinfection after immunisation with RA27/3 live attenuated rubella virus

A serological study was carried out on 527 girls immunized with RA 27/3 rubella vaccine. Data from all scheduled serum samples over a 5-year follow-up were available for 102 vaccinees, 10 (9.8%) of whom showed evidence of reinfection during the 5th year after immunisation, a year in which there was a rubella outbreak in the Siena area (Italy). We examined in greater detail the serological responses of these vaccinees after reinfection and the consequent implications pertinent to the duration of the protective immunity.